CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: St Elizabeth Edgewood

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$19,087

about 1.4× the $14,117 Medicare rate · typically $15,533–$24,483

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,949

Below the fair price — a good deal

about $3,138 under the fair price · 1.1× Medicare

Medicare pays $14,117 Fair price $19,087 This hospital $15,949

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $13,022 Priciest $15,949

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $19,087 (about 1.4× the $14,117 Medicare rate). St Elizabeth Edgewood charges insurers about $15,949 — below the fair price — a good deal. Located in Edgewood, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$15,275 - $47,904	108%
Blue Cross Blue Shieldmajor	$13,475 - $49,396	95%
Aetnamajor	$46,713	331%
Cignamajor	$50,730	359%
Humanamajor	$14,976	106%
Ambetter (Centene)	$29,951	212%
CareSource	$14,976 - $29,951	106%
Cigna HealthSpring	$14,976	106%
Devoted Health	$15,724	111%
Molina	$14,976	106%
WellCare	$16,174	115%
+ 2 smaller / regional plans	$14,976 - $36,990

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm St Elizabeth Edgewood is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Elizabeth Edgewood

Compare: Sepsis treatment (inpatient stay) at other KY hospitals

Murray-Calloway County Hospital · Murray $13,022
Taylor Regional Hospital · Campbellsville $13,436
Tristar Greenview Regional Hospital · Bowling Green $13,533
Tj Health Columbia · Columbia $13,564
Georgetown Community Hospital · Georgetown $13,659
Bourbon Community Hospital · Paris $13,828
Saint Joseph London · London $14,008
Clark Regional Medical Center · Winchester $14,036

Insurance negotiated median for the same procedure, sorted lowest first.